Dr David Dewitt Jackson, MD is a medicare enrolled "Surgery" physician in Mt Airy, North Carolina. He went to Wake Forest University School Of Medicine and graduated in 1973 and has 51 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Northern Hospital Of Surry County and his current practice location is
708 S South St, Ste 100, Mt Airy, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 789-9176.
Dr David Dewitt Jackson is licensed to practice in North Carolina (license number 18662) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942206453.
Physician's Profile
| Full Name | Dr David Dewitt Jackson |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 51 Years |
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| Location | 708 S South St, Mt Airy, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David Dewitt Jackson attended and graduated from Wake Forest University School Of Medicine in 1973
NPI Data:
- NPI Number: 1942206453
- Provider Enumeration Date: 06/21/2005
- Last Update Date: 10/29/2015
Medicare PECOS Information:
- PECOS PAC ID: 3072638261
- Enrollment ID: I20100910000897
Medical Identifiers
Medical identifiers for Dr David Dewitt Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942206453 | NPI | - | NPPES |
| 1912995093 | Other | NC | SURRY SURGICAL GROUP NPI |
| 8945509 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 18662 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northern Hospital Of Surry County | 0244281749 | 44 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David Dewitt Jackson allows following entities to bill medicare on his behalf.
| Entity Name | Northern Hospital Of Surry County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114467404
PECOS PAC ID: 0244281749
Enrollment ID: O20170911002297 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Dewitt Jackson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr David Dewitt Jackson, MD
Po Box 1267,
Mt Airy, NC 27030-1267
Ph: (336) 786-4522 | Dr David Dewitt Jackson, MD
708 S South St, Ste 100,
Mt Airy, NC 27030-4426
Ph: (336) 789-9176 |
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